Directorate of Urban Local Bodies
ISSUANCE OF MARRIAGE CERTIFICATE - APPLICATION FORM
 [Note: Fields marked * are mandatory] Hindi Typing Instructions
Registration Details
*District *Urban / Rural *Place Of Registration
Case Details  Case Date:  01/05/2017
Case Type  
   
Date of Marriage     
Applicant Details
Applicant Name Applicant Father Name Applicant Address
Mobile No: +91 Email Id:
Groom Details
GROOM PHOTO

(GIF or JPG, Max. 50 KB only)
BRIDE PHOTO

(GIF or JPG, Max. 50 KB only)
COUPLE PHOTO
(GIF or JPG, Max. 50 KB only)
GROOM's PARENTS  PHOTO

(GIF or JPG, Max. 50 KB only)
BRIDE's PARENTS  PHOTO

(GIF or JPG, Max. 50 KB only)
WITNESS 1 PHOTO

(GIF or JPG, Max. 50 KB only)
WITNESS 2 PHOTO

(GIF or JPG, Max. 50 KB only)
WITNESS 3 PHOTO

(GIF or JPG, Max. 50 KB only)
Groom Name Date Of Birth
Groom Father Name Groom Mother Name
Groom's Martial Status (Before this marriage) Groom Religion
Groom Nationality Country
Groom Occupation Permanent Address
Correspondence Address  
Residing at current Dwelling address since:
 
*State:
*District:
*Tehsil:
*Rural/Urban:
*:
 
Bride Details
Bride Name Date Of Birth
Bride Father Name Bride Mother Name
Bride's Martial Status(Before this marriage) Bride Religion
Bride Nationality Country    
Bride Occupation Permanent Address   
Correspondence Address  
Residing at current Dwelling address since:
 
*State:
*District:
*Tehsil:
*Rural/Urban:
*:
 
Marriage Venue Details:
 
*State:
*District:
*Tehsil:
*Rural/Urban:
*:
 
 Witness Details:  
Witness1 Name: Address:
Witness2 Name: Address:
Witness3 Name: Address:
Payment Detail
Documents Attached
Mode Of Payment:
Challan No:      
 
Challan Date:
 
 
Attach File for Groom: 
(Only pdf and max size 1024 KB only)
Attach File for Bride: 
(Only pdf and max size 1024 KB only)
 
 
  
 
Enter the Code shown Above:        
 
 
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